|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$26,837.48
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,837.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,837.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,335.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,336.85
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,790.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,831.24
|
| Rate for Payer: EPIC Health Plan Senior |
$14,689.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,689.81
|
| Rate for Payer: InnovAge PACE Commercial |
$22,034.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,689.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,684.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,684.35
|
| Rate for Payer: Multiplan WC |
$21,790.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,689.81
|
| Rate for Payer: Preferred Health Network WC |
$22,235.09
|
| Rate for Payer: Prime Health Services Medicare |
$15,571.20
|
| Rate for Payer: Prime Health Services WC |
$21,568.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$41,299.77
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$41,299.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,299.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,677.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,912.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,532.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,946.33
|
| Rate for Payer: EPIC Health Plan Senior |
$22,182.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,182.47
|
| Rate for Payer: InnovAge PACE Commercial |
$33,273.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,182.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,724.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,724.51
|
| Rate for Payer: Multiplan WC |
$33,532.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,182.47
|
| Rate for Payer: Preferred Health Network WC |
$34,217.23
|
| Rate for Payer: Prime Health Services Medicare |
$23,513.42
|
| Rate for Payer: Prime Health Services WC |
$33,190.71
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,689.24
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,689.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,689.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,718.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,121.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,986.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,831.68
|
| Rate for Payer: EPIC Health Plan Senior |
$10,986.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,986.43
|
| Rate for Payer: InnovAge PACE Commercial |
$16,479.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,986.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,721.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,721.82
|
| Rate for Payer: Multiplan WC |
$15,986.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,986.43
|
| Rate for Payer: Preferred Health Network WC |
$16,312.71
|
| Rate for Payer: Prime Health Services Medicare |
$11,645.62
|
| Rate for Payer: Prime Health Services WC |
$15,823.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$52,945.93
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$52,945.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,945.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,200.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,039.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,988.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,091.78
|
| Rate for Payer: EPIC Health Plan Senior |
$28,216.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,216.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,324.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,216.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,809.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,809.61
|
| Rate for Payer: Multiplan WC |
$42,988.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,216.13
|
| Rate for Payer: Preferred Health Network WC |
$43,866.17
|
| Rate for Payer: Prime Health Services Medicare |
$29,909.10
|
| Rate for Payer: Prime Health Services WC |
$42,550.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$81,388.88
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$81,388.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$81,388.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$52,573.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$70,772.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$66,082.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,985.04
|
| Rate for Payer: EPIC Health Plan Senior |
$42,951.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,951.88
|
| Rate for Payer: InnovAge PACE Commercial |
$64,427.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,951.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57,555.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,555.52
|
| Rate for Payer: Multiplan WC |
$66,082.77
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$42,951.88
|
| Rate for Payer: Preferred Health Network WC |
$67,431.40
|
| Rate for Payer: Prime Health Services Medicare |
$45,528.99
|
| Rate for Payer: Prime Health Services WC |
$65,408.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,286.37
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,286.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,286.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,377.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,161.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,898.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,538.12
|
| Rate for Payer: EPIC Health Plan Senior |
$21,139.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,139.35
|
| Rate for Payer: InnovAge PACE Commercial |
$31,709.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,139.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,326.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,326.73
|
| Rate for Payer: Multiplan WC |
$31,898.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,139.35
|
| Rate for Payer: Preferred Health Network WC |
$32,549.11
|
| Rate for Payer: Prime Health Services Medicare |
$22,407.71
|
| Rate for Payer: Prime Health Services WC |
$31,572.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$31,456.47
|
|
|
Service Code
|
MSDRG 844
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$31,456.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,456.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,319.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,353.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,540.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,061.79
|
| Rate for Payer: EPIC Health Plan Senior |
$17,082.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,082.81
|
| Rate for Payer: InnovAge PACE Commercial |
$25,624.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,082.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,890.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,890.97
|
| Rate for Payer: Multiplan WC |
$25,540.72
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,082.81
|
| Rate for Payer: Preferred Health Network WC |
$26,061.96
|
| Rate for Payer: Prime Health Services Medicare |
$18,107.78
|
| Rate for Payer: Prime Health Services WC |
$25,280.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$49,829.76
|
|
|
Service Code
|
MSDRG 843
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,829.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,829.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,187.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,330.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,458.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,912.29
|
| Rate for Payer: EPIC Health Plan Senior |
$26,601.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,601.70
|
| Rate for Payer: InnovAge PACE Commercial |
$39,902.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,601.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,646.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,646.28
|
| Rate for Payer: Multiplan WC |
$40,458.71
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,601.70
|
| Rate for Payer: Preferred Health Network WC |
$41,284.40
|
| Rate for Payer: Prime Health Services Medicare |
$28,197.80
|
| Rate for Payer: Prime Health Services WC |
$40,045.87
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,023.74
|
|
|
Service Code
|
MSDRG 845
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,023.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,023.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,226.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,151.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,881.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,464.48
|
| Rate for Payer: EPIC Health Plan Senior |
$12,195.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,195.91
|
| Rate for Payer: InnovAge PACE Commercial |
$18,293.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,195.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,342.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,342.52
|
| Rate for Payer: Multiplan WC |
$17,881.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,195.91
|
| Rate for Payer: Preferred Health Network WC |
$18,246.86
|
| Rate for Payer: Prime Health Services Medicare |
$12,927.66
|
| Rate for Payer: Prime Health Services WC |
$17,699.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$53,088.05
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$53,088.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,088.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,292.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,163.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,104.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,191.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,289.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,289.76
|
| Rate for Payer: InnovAge PACE Commercial |
$42,434.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,289.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,908.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,908.28
|
| Rate for Payer: Multiplan WC |
$43,104.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,289.76
|
| Rate for Payer: Preferred Health Network WC |
$43,983.92
|
| Rate for Payer: Prime Health Services Medicare |
$29,987.15
|
| Rate for Payer: Prime Health Services WC |
$42,664.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$104,847.00
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$104,847.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$104,847.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$67,726.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$91,170.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$85,129.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,391.95
|
| Rate for Payer: EPIC Health Plan Senior |
$55,105.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$55,105.15
|
| Rate for Payer: InnovAge PACE Commercial |
$82,657.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,105.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$73,840.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$73,840.90
|
| Rate for Payer: Multiplan WC |
$85,129.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$55,105.15
|
| Rate for Payer: Preferred Health Network WC |
$86,866.67
|
| Rate for Payer: Prime Health Services Medicare |
$58,411.46
|
| Rate for Payer: Prime Health Services WC |
$84,260.67
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,380.39
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$33,380.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,380.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,562.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,026.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,102.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,407.42
|
| Rate for Payer: EPIC Health Plan Senior |
$18,079.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,079.57
|
| Rate for Payer: InnovAge PACE Commercial |
$27,119.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,079.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,226.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,226.62
|
| Rate for Payer: Multiplan WC |
$27,102.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,079.57
|
| Rate for Payer: Preferred Health Network WC |
$27,655.95
|
| Rate for Payer: Prime Health Services Medicare |
$19,164.34
|
| Rate for Payer: Prime Health Services WC |
$26,826.27
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$108,165.83
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$108,165.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$108,165.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,870.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$94,056.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$87,824.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$76,713.16
|
| Rate for Payer: EPIC Health Plan Senior |
$56,824.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$56,824.56
|
| Rate for Payer: InnovAge PACE Commercial |
$85,236.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$56,824.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$76,144.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$76,144.91
|
| Rate for Payer: Multiplan WC |
$87,824.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$56,824.56
|
| Rate for Payer: Preferred Health Network WC |
$89,616.34
|
| Rate for Payer: Prime Health Services Medicare |
$60,234.03
|
| Rate for Payer: Prime Health Services WC |
$86,927.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$196,450.28
|
|
|
Service Code
|
MSDRG 957
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$196,450.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$196,450.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$126,898.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$170,825.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$159,505.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$138,460.25
|
| Rate for Payer: EPIC Health Plan Senior |
$102,563.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$102,563.15
|
| Rate for Payer: InnovAge PACE Commercial |
$153,844.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$102,563.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$137,434.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$137,434.62
|
| Rate for Payer: Multiplan WC |
$159,505.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$102,563.15
|
| Rate for Payer: Preferred Health Network WC |
$162,760.79
|
| Rate for Payer: Prime Health Services Medicare |
$108,716.94
|
| Rate for Payer: Prime Health Services WC |
$157,877.97
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$69,584.80
|
|
|
Service Code
|
MSDRG 959
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$69,584.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,584.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,948.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,508.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,498.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,729.17
|
| Rate for Payer: EPIC Health Plan Senior |
$36,836.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,836.42
|
| Rate for Payer: InnovAge PACE Commercial |
$55,254.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,836.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,360.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,360.80
|
| Rate for Payer: Multiplan WC |
$56,498.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$36,836.42
|
| Rate for Payer: Preferred Health Network WC |
$57,651.62
|
| Rate for Payer: Prime Health Services Medicare |
$39,046.61
|
| Rate for Payer: Prime Health Services WC |
$55,922.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$46,847.82
|
|
|
Service Code
|
MSDRG 803
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,847.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,847.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,261.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,737.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,037.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,826.69
|
| Rate for Payer: EPIC Health Plan Senior |
$25,056.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,056.81
|
| Rate for Payer: InnovAge PACE Commercial |
$37,585.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,056.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,576.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,576.13
|
| Rate for Payer: Multiplan WC |
$38,037.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,056.81
|
| Rate for Payer: Preferred Health Network WC |
$38,813.83
|
| Rate for Payer: Prime Health Services Medicare |
$26,560.22
|
| Rate for Payer: Prime Health Services WC |
$37,649.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$94,348.35
|
|
|
Service Code
|
MSDRG 802
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$94,348.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$94,348.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,945.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$82,041.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,605.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$67,049.06
|
| Rate for Payer: EPIC Health Plan Senior |
$49,665.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,665.97
|
| Rate for Payer: InnovAge PACE Commercial |
$74,498.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,665.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$66,552.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,552.40
|
| Rate for Payer: Multiplan WC |
$76,605.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,665.97
|
| Rate for Payer: Preferred Health Network WC |
$78,168.44
|
| Rate for Payer: Prime Health Services Medicare |
$52,645.93
|
| Rate for Payer: Prime Health Services WC |
$75,823.39
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
|
Facility
|
IP
|
$29,098.29
|
|
|
Service Code
|
MSDRG 804
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$29,098.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,098.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,796.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,302.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,626.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,412.50
|
| Rate for Payer: EPIC Health Plan Senior |
$15,861.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,861.11
|
| Rate for Payer: InnovAge PACE Commercial |
$23,791.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,861.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,253.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,253.89
|
| Rate for Payer: Multiplan WC |
$23,626.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,861.11
|
| Rate for Payer: Preferred Health Network WC |
$24,108.19
|
| Rate for Payer: Prime Health Services Medicare |
$16,812.78
|
| Rate for Payer: Prime Health Services WC |
$23,384.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$49,685.01
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,685.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,685.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,094.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,204.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,341.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,811.04
|
| Rate for Payer: EPIC Health Plan Senior |
$26,526.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,526.70
|
| Rate for Payer: InnovAge PACE Commercial |
$39,790.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,526.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,545.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,545.78
|
| Rate for Payer: Multiplan WC |
$40,341.18
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,526.70
|
| Rate for Payer: Preferred Health Network WC |
$41,164.47
|
| Rate for Payer: Prime Health Services Medicare |
$28,118.30
|
| Rate for Payer: Prime Health Services WC |
$39,929.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$23,839.75
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,839.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,839.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,399.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,730.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,356.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,734.59
|
| Rate for Payer: EPIC Health Plan Senior |
$13,136.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,136.73
|
| Rate for Payer: InnovAge PACE Commercial |
$19,705.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,136.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,603.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,603.22
|
| Rate for Payer: Multiplan WC |
$19,356.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,136.73
|
| Rate for Payer: Preferred Health Network WC |
$19,751.44
|
| Rate for Payer: Prime Health Services Medicare |
$13,924.93
|
| Rate for Payer: Prime Health Services WC |
$19,158.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$48,090.08
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$48,090.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,090.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,064.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,817.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,046.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,695.51
|
| Rate for Payer: EPIC Health Plan Senior |
$25,700.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,700.38
|
| Rate for Payer: InnovAge PACE Commercial |
$38,550.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,700.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,438.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,438.51
|
| Rate for Payer: Multiplan WC |
$39,046.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,700.38
|
| Rate for Payer: Preferred Health Network WC |
$39,843.05
|
| Rate for Payer: Prime Health Services Medicare |
$27,242.40
|
| Rate for Payer: Prime Health Services WC |
$38,647.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$101,336.05
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$101,336.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$101,336.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$65,458.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$88,117.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$82,278.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$71,936.34
|
| Rate for Payer: EPIC Health Plan Senior |
$53,286.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$53,286.18
|
| Rate for Payer: InnovAge PACE Commercial |
$79,929.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,286.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,403.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,403.48
|
| Rate for Payer: Multiplan WC |
$82,278.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$53,286.18
|
| Rate for Payer: Preferred Health Network WC |
$83,957.81
|
| Rate for Payer: Prime Health Services Medicare |
$56,483.35
|
| Rate for Payer: Prime Health Services WC |
$81,439.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,633.29
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,633.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,633.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,017.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,985.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,932.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,983.13
|
| Rate for Payer: EPIC Health Plan Senior |
$19,246.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,246.76
|
| Rate for Payer: InnovAge PACE Commercial |
$28,870.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,246.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,790.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,790.66
|
| Rate for Payer: Multiplan WC |
$28,932.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,246.76
|
| Rate for Payer: Preferred Health Network WC |
$29,522.50
|
| Rate for Payer: Prime Health Services Medicare |
$20,401.57
|
| Rate for Payer: Prime Health Services WC |
$28,636.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
|
Facility
|
IP
|
$46,663.59
|
|
|
Service Code
|
MSDRG 580
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,663.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,663.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,142.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,576.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,887.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,697.82
|
| Rate for Payer: EPIC Health Plan Senior |
$24,961.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,961.35
|
| Rate for Payer: InnovAge PACE Commercial |
$37,442.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,961.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,448.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,448.21
|
| Rate for Payer: Multiplan WC |
$37,887.97
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,961.35
|
| Rate for Payer: Preferred Health Network WC |
$38,661.19
|
| Rate for Payer: Prime Health Services Medicare |
$26,459.03
|
| Rate for Payer: Prime Health Services WC |
$37,501.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
|
Facility
|
IP
|
$85,784.15
|
|
|
Service Code
|
MSDRG 579
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$85,784.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,784.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$55,413.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$74,594.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$69,651.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,059.16
|
| Rate for Payer: EPIC Health Plan Senior |
$45,229.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,229.01
|
| Rate for Payer: InnovAge PACE Commercial |
$67,843.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,229.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$60,606.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,606.87
|
| Rate for Payer: Multiplan WC |
$69,651.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$45,229.01
|
| Rate for Payer: Preferred Health Network WC |
$71,072.92
|
| Rate for Payer: Prime Health Services Medicare |
$47,942.75
|
| Rate for Payer: Prime Health Services WC |
$68,940.73
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
